A randomized controlled psycho-education intervention trial : Improving psychological readiness for successful HIV medication adherence and reducing depression before initiating HAART
Identifieur interne : 002413 ( Main/Exploration ); précédent : 002412; suivant : 002414A randomized controlled psycho-education intervention trial : Improving psychological readiness for successful HIV medication adherence and reducing depression before initiating HAART
Auteurs : L. Balfour [Canada] ; J. Kowal [Canada] ; A. Silverman [Canada] ; G. A. Tasca [Canada] ; J. B. Angel [Canada] ; P. A. Macpherson [Canada] ; G. Garber [Canada] ; C. L. Cooper [Canada] ; D. W. Cameron [Canada]Source :
- AIDS Care : (Print) [ 0954-0121 ] ; 2006.
Descripteurs français
- Pascal (Inist)
- Psychoéducation, Psychothérapie individuelle, SIDA, Virus immunodéficience humaine, Observance médicamenteuse, Chimiothérapie, Etat dépressif, Efficacité traitement, Association médicamenteuse, Antirétroviral, Prétraitement, Etude longitudinale, Santé publique, Santé mentale, Environnement social, Canada, Homme, Antiviral.
- Wicri :
- geographic : Canada.
- topic : Santé publique, Santé mentale, Homme.
English descriptors
- KwdEn :
Abstract
The purpose of this study was to evaluate a novel psycho-educational intervention intended to increase patients' medication preparedness and treatment adherence skills before initiating highly active antiretroviral therapy (HAART). Sixty-three HIV-positive patients not currently on antiretroviral therapy participated in a randomized controlled trial of a standardized, four-session psycho-educational intervention (Supportive Therapy for Adherence to Antiretroviral Treatment; STAART). Session topics included learning techniques to increase medication adherence and learning effective strategies to cope with stress and depression. Patients completed psychological questionnaires assessing psychological readiness to initiate HAART and depressed mood. They completed both measures at study baseline and at four-weeks post-baseline. After controlling for baseline medication readiness scores, intervention patients (n = 30) reported significantly higher mean medication readiness following the STAART intervention (four-weeks post-baseline) (27.3±6.9) compared to controls (n=33; 24.6±9.9; p <0.05). Among depressed patients (n =27), those receiving the intervention (n=15) reported significantly lower mean depression scores at four-weeks post-baseline (22.5±12.9) compared to controls (n = 12; 27±9.9; p <0.05). The STAART intervention enhanced HIV treatment readiness by better preparing patients prior to initiating HAART. It was also beneficial for reducing depressive symptoms in depressed, HIV-positive patients.
Affiliations:
Links toward previous steps (curation, corpus...)
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- to stream PascalFrancis, to step Curation: 000088
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Balfour</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Division of Infectious Diseases, Ottawa Hospital-General Campus</s1><s2>Ottawa, Ontario</s2><s3>CAN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>Ottawa, Ontario</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>University of Ottawa</s1><s2>Ottawa, Ontario</s2><s3>CAN</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>University of Ottawa</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Ottawa Health Research Institute</s1><s2>Ottawa, Ontario</s2><s3>CAN</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>Ottawa Health Research Institute</wicri:noRegion></affiliation></author><author><name sortKey="Kowal, J" sort="Kowal, J" uniqKey="Kowal J" first="J." last="Kowal">J. Kowal</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Division of Infectious Diseases, Ottawa Hospital-General Campus</s1><s2>Ottawa, Ontario</s2><s3>CAN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>Ottawa, Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Silverman, A" sort="Silverman, A" uniqKey="Silverman A" first="A." last="Silverman">A. Silverman</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Division of Infectious Diseases, Ottawa Hospital-General Campus</s1><s2>Ottawa, Ontario</s2><s3>CAN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>Ottawa, Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Tasca, G A" sort="Tasca, G A" uniqKey="Tasca G" first="G. A." last="Tasca">G. A. Tasca</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>University of Ottawa</s1><s2>Ottawa, Ontario</s2><s3>CAN</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>University of Ottawa</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Ottawa Health Research Institute</s1><s2>Ottawa, Ontario</s2><s3>CAN</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>Ottawa Health Research Institute</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Carleton University</s1><s2>Ottawa, Ontario</s2><s3>CAN</s3><sZ>4 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>Carleton University</wicri:noRegion></affiliation></author><author><name sortKey="Angel, J B" sort="Angel, J B" uniqKey="Angel J" first="J. B." last="Angel">J. B. Angel</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Division of Infectious Diseases, Ottawa Hospital-General Campus</s1><s2>Ottawa, Ontario</s2><s3>CAN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>Ottawa, Ontario</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>University of Ottawa</s1><s2>Ottawa, Ontario</s2><s3>CAN</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>University of Ottawa</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Ottawa Health Research Institute</s1><s2>Ottawa, Ontario</s2><s3>CAN</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>Ottawa Health Research Institute</wicri:noRegion></affiliation></author><author><name sortKey="Macpherson, P A" sort="Macpherson, P A" uniqKey="Macpherson P" first="P. A." last="Macpherson">P. A. Macpherson</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Division of Infectious Diseases, Ottawa Hospital-General Campus</s1><s2>Ottawa, Ontario</s2><s3>CAN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>Ottawa, Ontario</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>University of Ottawa</s1><s2>Ottawa, Ontario</s2><s3>CAN</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>University of Ottawa</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Ottawa Health Research Institute</s1><s2>Ottawa, Ontario</s2><s3>CAN</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>Ottawa Health Research Institute</wicri:noRegion></affiliation></author><author><name sortKey="Garber, G" sort="Garber, G" uniqKey="Garber G" first="G." last="Garber">G. Garber</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Division of Infectious Diseases, Ottawa Hospital-General Campus</s1><s2>Ottawa, Ontario</s2><s3>CAN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>Ottawa, Ontario</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>University of Ottawa</s1><s2>Ottawa, Ontario</s2><s3>CAN</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>University of Ottawa</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Ottawa Health Research Institute</s1><s2>Ottawa, Ontario</s2><s3>CAN</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>Ottawa Health Research Institute</wicri:noRegion></affiliation></author><author><name sortKey="Cooper, C L" sort="Cooper, C L" uniqKey="Cooper C" first="C. L." last="Cooper">C. L. Cooper</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Division of Infectious Diseases, Ottawa Hospital-General Campus</s1><s2>Ottawa, Ontario</s2><s3>CAN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>Ottawa, Ontario</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>University of Ottawa</s1><s2>Ottawa, Ontario</s2><s3>CAN</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>University of Ottawa</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Ottawa Health Research Institute</s1><s2>Ottawa, Ontario</s2><s3>CAN</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>Ottawa Health Research Institute</wicri:noRegion></affiliation></author><author><name sortKey="Cameron, D W" sort="Cameron, D W" uniqKey="Cameron D" first="D. W." last="Cameron">D. W. Cameron</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Division of Infectious Diseases, Ottawa Hospital-General Campus</s1><s2>Ottawa, Ontario</s2><s3>CAN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>Ottawa, Ontario</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>University of Ottawa</s1><s2>Ottawa, Ontario</s2><s3>CAN</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>University of Ottawa</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Ottawa Health Research Institute</s1><s2>Ottawa, Ontario</s2><s3>CAN</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>Ottawa Health Research Institute</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">AIDS Care : (Print)</title><title level="j" type="abbreviated">AIDS Care : (Print)</title><idno type="ISSN">0954-0121</idno><imprint><date when="2006">2006</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">AIDS Care : (Print)</title><title level="j" type="abbreviated">AIDS Care : (Print)</title><idno type="ISSN">0954-0121</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>AIDS</term><term>Antiretroviral agent</term><term>Antiviral</term><term>Canada</term><term>Chemotherapy</term><term>Depression</term><term>Drug combination</term><term>Drug compliance</term><term>Follow up study</term><term>Human</term><term>Human immunodeficiency virus</term><term>Individual psychotherapy</term><term>Mental health</term><term>Pretreatment</term><term>Psychoeducation</term><term>Public health</term><term>Social environment</term><term>Treatment efficiency</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Psychoéducation</term><term>Psychothérapie individuelle</term><term>SIDA</term><term>Virus immunodéficience humaine</term><term>Observance médicamenteuse</term><term>Chimiothérapie</term><term>Etat dépressif</term><term>Efficacité traitement</term><term>Association médicamenteuse</term><term>Antirétroviral</term><term>Prétraitement</term><term>Etude longitudinale</term><term>Santé publique</term><term>Santé mentale</term><term>Environnement social</term><term>Canada</term><term>Homme</term><term>Antiviral</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Canada</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Santé publique</term><term>Santé mentale</term><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The purpose of this study was to evaluate a novel psycho-educational intervention intended to increase patients' medication preparedness and treatment adherence skills before initiating highly active antiretroviral therapy (HAART). Sixty-three HIV-positive patients not currently on antiretroviral therapy participated in a randomized controlled trial of a standardized, four-session psycho-educational intervention (Supportive Therapy for Adherence to Antiretroviral Treatment; STAART). Session topics included learning techniques to increase medication adherence and learning effective strategies to cope with stress and depression. Patients completed psychological questionnaires assessing psychological readiness to initiate HAART and depressed mood. They completed both measures at study baseline and at four-weeks post-baseline. After controlling for baseline medication readiness scores, intervention patients (n = 30) reported significantly higher mean medication readiness following the STAART intervention (four-weeks post-baseline) (27.3±6.9) compared to controls (n=33; 24.6±9.9; p <0.05). Among depressed patients (n =27), those receiving the intervention (n=15) reported significantly lower mean depression scores at four-weeks post-baseline (22.5±12.9) compared to controls (n = 12; 27±9.9; p <0.05). The STAART intervention enhanced HIV treatment readiness by better preparing patients prior to initiating HAART. It was also beneficial for reducing depressive symptoms in depressed, HIV-positive patients.</div></front></TEI><affiliations><list><country><li>Canada</li></country></list><tree><country name="Canada"><noRegion><name sortKey="Balfour, L" sort="Balfour, L" uniqKey="Balfour L" first="L." last="Balfour">L. Balfour</name></noRegion><name sortKey="Angel, J B" sort="Angel, J B" uniqKey="Angel J" first="J. B." last="Angel">J. B. Angel</name><name sortKey="Angel, J B" sort="Angel, J B" uniqKey="Angel J" first="J. B." last="Angel">J. B. Angel</name><name sortKey="Angel, J B" sort="Angel, J B" uniqKey="Angel J" first="J. B." last="Angel">J. B. Angel</name><name sortKey="Balfour, L" sort="Balfour, L" uniqKey="Balfour L" first="L." last="Balfour">L. Balfour</name><name sortKey="Balfour, L" sort="Balfour, L" uniqKey="Balfour L" first="L." last="Balfour">L. Balfour</name><name sortKey="Cameron, D W" sort="Cameron, D W" uniqKey="Cameron D" first="D. W." last="Cameron">D. W. Cameron</name><name sortKey="Cameron, D W" sort="Cameron, D W" uniqKey="Cameron D" first="D. W." last="Cameron">D. W. Cameron</name><name sortKey="Cameron, D W" sort="Cameron, D W" uniqKey="Cameron D" first="D. W." last="Cameron">D. W. Cameron</name><name sortKey="Cooper, C L" sort="Cooper, C L" uniqKey="Cooper C" first="C. L." last="Cooper">C. L. Cooper</name><name sortKey="Cooper, C L" sort="Cooper, C L" uniqKey="Cooper C" first="C. L." last="Cooper">C. L. Cooper</name><name sortKey="Cooper, C L" sort="Cooper, C L" uniqKey="Cooper C" first="C. L." last="Cooper">C. L. Cooper</name><name sortKey="Garber, G" sort="Garber, G" uniqKey="Garber G" first="G." last="Garber">G. Garber</name><name sortKey="Garber, G" sort="Garber, G" uniqKey="Garber G" first="G." last="Garber">G. Garber</name><name sortKey="Garber, G" sort="Garber, G" uniqKey="Garber G" first="G." last="Garber">G. Garber</name><name sortKey="Kowal, J" sort="Kowal, J" uniqKey="Kowal J" first="J." last="Kowal">J. Kowal</name><name sortKey="Macpherson, P A" sort="Macpherson, P A" uniqKey="Macpherson P" first="P. A." last="Macpherson">P. A. Macpherson</name><name sortKey="Macpherson, P A" sort="Macpherson, P A" uniqKey="Macpherson P" first="P. A." last="Macpherson">P. A. Macpherson</name><name sortKey="Macpherson, P A" sort="Macpherson, P A" uniqKey="Macpherson P" first="P. A." last="Macpherson">P. A. Macpherson</name><name sortKey="Silverman, A" sort="Silverman, A" uniqKey="Silverman A" first="A." last="Silverman">A. Silverman</name><name sortKey="Tasca, G A" sort="Tasca, G A" uniqKey="Tasca G" first="G. A." last="Tasca">G. A. Tasca</name><name sortKey="Tasca, G A" sort="Tasca, G A" uniqKey="Tasca G" first="G. A." last="Tasca">G. A. Tasca</name><name sortKey="Tasca, G A" sort="Tasca, G A" uniqKey="Tasca G" first="G. A." last="Tasca">G. A. Tasca</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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